REHABILITATION CENTER AT SANDALWOOD, THE

WHEAT RIDGE, CO · 103 beds · For profit - Corporation

10 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 1 citation(s) at the highest severity level — immediate risk to residents
  • 2 citation(s) where residents suffered actual harm

Green Flags

  • 4-star staffing rating

Quick Facts

★★☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
9
1.0x state avg
Deficiencies
$46,150
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

April 25, 2024

18 deficiencyies
F0676 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0692 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide enough food/fluids to maintain a resident's health.

F0698 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate dialysis care/services for a resident who requires such services.

F0756 Immediate Jeopardy Scope/Severity: L

Pharmacy Service Deficiencies

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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0791 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide or obtain dental services for each resident.

F0867 Potential Harm Scope/Severity: F

Administration Deficiencies

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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

F0676 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0692 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

Show details

Provide enough food/fluids to maintain a resident's health.

F0698 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide safe, appropriate dialysis care/services for a resident who requires such services.

F0756 Immediate Jeopardy Scope/Severity: L

Pharmacy Service Deficiencies

Show details

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0791 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide or obtain dental services for each resident.

F0867 Potential Harm Scope/Severity: F

Administration Deficiencies

Show details

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

January 30, 2024

2 deficiencyies
F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

See full violation history →

Staffing

0.93
RN hrs/res/day
0.71
LPN hrs/res/day
2.41
CNA hrs/res/day
3.64
Weekend hrs/res/day
55%
Total nurse turnover
53%
RN turnover

A nurse checks on each resident roughly every 5.9 hours on average.

Fines & Penalties

  • Fine Apr 25, 2024
    $46,150
Total $46,150

Ownership

For profit - Corporation Independent (not part of a chain)
  • BEDINGER, MARK

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 08/01/2024

    100% Individual
  • COLAVRIA HOSPITALITY, INC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/01/2024

    Organization
  • BEDINGER, MARK

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/01/2024

    Individual
  • CHARTIER, IAN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/01/2024

    Individual
  • BEDINGER, MARK

    CORPORATE OFFICER

    Since since 08/01/2024

    Individual

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